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This booklet contains a return and the instructions for filing your 2022                         WHAT IS TAXABLE INCOME
individual City of Jackson income tax return. Read all of the instructions 
                                                                              RESIDENTS ONLY
carefully before completing your 2022 returns. Since some of the 
information on your J1040 may be based on your Federal 1040, it is           A resident is subject to tax on all items included in total Federal income. 
                                                                             (Subject to certain exclusions as listed in "What is Non-Taxable 
suggested that your J1040 be prepared after you complete your Federal 
                                                                             Income".) Taxable income would include: 
income tax return.                                                           1. Salaries, bonuses, wages, commissions, fees, vacation pay, profit 
WHO MUST FILE A TAX RETURN                                                   sharing plan income, and other compensation regardless of where 
                                                                             earned. 
Every resident and non-resident who had gross income of $600 or more         2.  Proceeds from regular IRAʼs, deferred Compensation programs and 
from sources listed under "What is Taxable Income" must complete and         incentives for early retirement are all taxable at 1%. 
file a return. If you wish to claim a refund because the tax withheld or     3.  Fair market value of merchandise or services received as compensation. 
paid is more than the tax due, you must file a return. If you filed a        4. Net profit from the operation of a business or profession or other 
Declaration of Estimated Tax for 2023 you must file an annual return         activity regardless of where earned. 
even though there is no change in tax liability. Each partner in a           5. Income from a partnership, estate or trust, interest from bank 
partnership as such elects to file and pay the tax for all of the partners.  accounts, credit unions, savings and loan associations and other 
In the latter case the partner may take credit on line 10 for tax payments   income regardless of where earned. 
made by the partnership in his behalf.                                       6. Rental income, capital gains, and dividends. 
                                                                             7. Amounts received for personal injuries, sickness, and disability are 
RESIDENCY                                                                    taxable to the extent provided by the Federal Internal Revenue Code. 
A Jackson RESIDENT is a person residing/staying in Jackson                    NON-RESIDENTS ONLY
"Domicile" means a place where a person has their true, fixed and 
                                                                             A non-resident is subject to tax on all items included in total Federal 
permanent home. A NON-RESIDENT is a person domiciled outside the             Income which are derived from or connected with Jackson sources as 
city.                                                                        follows: 
                                                                             1. Salaries, bonuses, wages, commissions, fees, vacation pay, profit 
CHANGE OF RESIDENT STATUS
                                                                             sharing plans and other compensation for services rendered as an 
Any person whose residence changed either from a resident  to a non-         employee in Jackson. 
resident or a non-resident to a resident during the taxable year will file   2. Fair market value of merchandise or services received as compensation. 
according to the instructions from Schedule 4.                               3. Net profits from the operation of a business or profession or other 
                                                                             activity conducted in Jackson (See Schedule 3 for business allocation.) 
MARRIED PERSON-JOINT OR SEPARATE RETURNS                                     4. Net profits from rental or real and tangible property located in Jackson. 
Married persons may file either a joint or separate return. Residents        5. Net profits from sale or exchange of personal property located in Jackson. 
filing jointly must include all income of both spouses. Non-residents filing 6. Amounts received for personal injuries, sickness, and disability are 
jointly must include Jackson earned income of both spouses. If you file      taxable to the extent provided by the Federal Internal Revenue Code. 
jointly, both names must be listed in the heading and both must sign the                 WHAT IS NON-TAXABLE INCOME
return. If you file separately, dependents can only be claimed by the 
spouse who would be entitled to claim such dependents under the               RESIDENTS AND NON-RESIDENTS
Federal Internal Revenue Code.                                               The following types of income are not taxable both to a resident and a 
                                                                             non-resident, and they may be listed as subtractions, if they are 
DECEASED TAXPAYERS                                                           included on line 1 of J1040 (but only if included.)    Attach federal 
A return for a taxpayer who died during the taxable year should be filed     schedules as needed. 
on the same basis as they would have filed if they had lived. If a refund is 1. Gifts, inheritances, bequests and distributions of principal from 
                                                                             estates and trusts. 
due on the return and the check is to be made payable to persons other 
                                                                             2. Proceeds from Social Security, insurance, pensions, annuities and 
than the surviving spouse, a letter of explanation should be attached.       retirement benefits even if taxable under the Federal Internal Revenue 
DUE DATE                                                                     Code. 
                                                                             3. Amounts received for disability are excluded only to the extent 
Your return is due on or before April 30, 2023 or within four months after   provided by the Federal Internal Revenue Code. 
the end of your fiscal year accepted by the Internal Revenue Service.        4. Unemployment compensation, supplemental unemployment benefits, 
An extension for your city return is automatic if you have been granted      welfare relief payments, workers compensation. 
an extension for your Federal 1040 and you submit a copy of it to the        5. Interest from obligations of the United States, such as Savings Bonds 
Income Tax Division by the date your city return was first due.              and Treasury Notes, obligations of the states, or subordinate units of 
Extensions may be granted by writing the Jackson Income Tax Division.        government of states. 
                                                                             6. Dividends on an insurance policy. 
DECLARATION OF ESTIMATED TAX                                                 7. Compensation received for service in the armed forces of the United 
If you expect that your City of Jackson tax will exceed amounts withheld     States, including Reserves. 
from your pay by $100 or more, you must file a Declaration of Estimated      8. IRA payments made on income taxed by the City only. 
Tax: form J1040ES by April 30, and pay at least one-fourth (1/4) of the       NON-RESIDENTS ONLY
estimated tax with your declaration. The remaining balance will be due 
                                                                             The following items are non-taxable to non-residents only: 
in three equal installments to be paid on June 30, September 30 and on 
                                                                             1. Interest, dividends and royalty income. 
January 31. If you file an estimate you must still file an annual return.    2. Income from trusts and estates. 
You may amend your estimate at the time of making any quarterly 
payment. Failure to file when required will result in an assessment of        TO COMPLETE YOUR RETURN
interest and penalty charges.                                                Residents - turn to Residents Only, Instructions for Preparing Tax Return. 
                                                                             Non-Residents - turn to Non-Residents Only, Instructions for Preparing 
                                                                             Tax Return. 
                                                                             Part-Year Residents - see Schedule 4, instructions enclosed in booklet.



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J1040                                                                                                                                                                                                    CHECK                              RESIDENT                        
FOR CALENDAR 2022                                                                   CITY OF JACKSON, MI INCOME TAX                                                                                       ONE                                NONRESIDENT                     
OR FISCAL YEAR ENDING                                                                                          INDIVIDUAL RETURN                                                                         BOX                                PART-YEAR                      
                                  YOUR SOCIAL SECURITY NUMBER                  SPOUSE'S SOCIAL SECURITY NUMBER                        DATE(S) OF BIRTH                                                                          FILING STATUS: 
                                                                                                                                                                                                                                RESIDENT FROM _____ TO _____ 
FIRST NAME(S) AND INITIAL(S)                                                     LAST NAME                                                                                                       TELEPHONE                       
                                                                                                                                      HOME  (               )                                                                           SINGLE                JOINT 
                                                                                                                                      WORK (               )                                                                     
(STREET OR RURAL ROUTE) DO NOT USE P.O. BOX                                                                                           Your Occupation 
                                                                                                                                                                                                                                EMPLOYERS NAME & LOCAL ADDRESS 
                                                                                                                                                                                                                                 _____________________________ 
CITY, TOWN OR POST OFFICE                            STATE              POSTAL ZIP CODE                                               Spouse's Occupation
                                                                                                                                                                                                                                 _____________________________

EXEMPTIONS:                                              a.    YOURSELF          65& Over        SPOUSE                       65 &Over 
Children are allowed their                               b.    Blind          Paraplegic                  Blind          Paraplegic
own exemption even if being  
claimed on parents return: 
                                                                               Dependents                      Check                                                                                                            No. of                NO. OF BOXES 
Did you file a 2021 City     c.                                           Name (first, initial, and last name) if under           If age 2 or over dependent's                                           Relationship           months                CHECKED ON a 
                                                                                                               age 2              social security number                                                                        in your home          AND b 
Return? ............                                                                                                                                                                                                                                   
                                                                                                                                  :          :                                                                                                        NO. OF OTHER 
                                                                                                                                                                                                                                                      DEPENDENTS 
  Yes            No                                                                                                             :          :                                                                                                        LISTED ON c 
If yes, are the Name(s)                                                                                                           :          :                                                                                                         
                                                                                                                                                                                                                                                      TOTAL EXEMPTIONS 
and Address the same?                                                                                                             :          :                                                                                                        ADD NUMBERS 
                                                                                                                                                                                                                                                      ENTERED ON 
  Yes            No                                                                                                             :          :                                                                                                        BOXES ABOVE
If no, list name and                                                                                                              :          :
address used on previous                                                                                                                                                                                                                               DO NOT ROUND 
return: .......................................................................................                                                                                                                                                          DROP CENTS

                                  1A. TOTAL INCOME: (all W2's Schedules, 1099ʼs and / or documents to substantiate totals must be attached in order to process return)                                                                     1A.                             00 
                                       RESIDENTS: enter total gross income for 2022......................................................... 
                                                                                                                                                                                                                                           1B.                             00 
                                  1B.  NONRESIDENTS: enter gross wages from W-2, or Schedule 1, page 2 ........................................... 
                                       (If you have no additions or subtractions, carry this amount to line 4) 
                                                                                                                                                                                                                                           2.                              00 
                                   2.  ADDITIONS TO INCOME: (from page 2 Schedule 2R line C for Residents or 2NR line E for Non-Residents) 1120-S income is not taxable on individual return. .. 
                                                                                                                                                                                                                                           3.                              00 
                                   3.  SUBTRACTIONS FROM INCOME(From page 2 schedule 2R line M for Residents/ScheduleI                                                                2NR line   for Non-Residents) 1120-S loss not deductible        on individual return.
                                                                                    ATTACH ALL SCHEDULES AND EXPLANATIONS                                                                                                                  4.                              00 
                                    4. ADJUSTED INCOME (Add lines 1 and 2 less line 3.)............................................ 
                                                                                                                                                                                                                                           5.                              00 
                 W-2'S HERE        5.  EXEMPTIONS: Multiply the number of exemptions claimed by $600.00............................... 
                                                                                                                                                                                                                                           6.                              00 
                                   6.  TAXABLE INCOME (line 4 less line 5) ...................................................... 
                                   
                                   7.  TAX - Multiply amount on line 6 by one of the following: 
                                       A. RESIDENT ONLY - 1% (.01) ...........................................................  7.                                                                                                                                         00 
                                       B. NONRESIDENT ONLY - 1/2% (.005)...................................................... 
                                       C. PART-YEAR RESIDENT - Tax from Schedule 4, line M........................................ 
                                   
                                       PAYMENTS AND TAX CREDITS:                    ATTACH COPIES OF W2ʼS, 1099                                                                                                                                                             
                                   8.  Jackson tax withheld (You must attach copies of all W2ʼs to obtain credit for withholding.)   8.                                                                                         00 
                                   9.  2022 Estimate payments (including carry forward credit from 2021 J-1040 ...........  9.                                                                                                  00 
                                  10. Credits for income tax paid to another Michigan municipality (Residents Only) or by                                                                            10.                        00                                          
                                       a partnership. *Attach copy of other municipalities return. 

                                  11. TOTAL PAYMENTS AND CREDITS (Add lines 8, 9 and 10.) ......................................                                                                                                           11.                             00 
                                       (Make checks payable to City Treasurer.)                                (No payment necessary if less than $1.00)
                                  12. BALANCE DUE: (line 7 larger than line 11)...................................................PAY WITH RETURN
                                                                                                                                                                                                                                           12.                             00 
                                       Direct Deposit- Routing Number                                                     Checking      Savings
                                  13. A. REFUND: (line 11 larger than 7.)  Account Number                                                                                                                                                  13A.                            00 
                                       . . . . . refunds will not be made for less than $1.00 .............................................                                                                         REFUND 
                                  13. B. Credit to 2023 Estimated tax ...........................................................                                                                                   CREDIT                 13B.                            00 
                 ATTACH CHECK HERE
                                  13. C. Donate your refund to the City Parks and Recreation Fund .....................................                                                                                                    13C.                            00 
                                  14. Interest and penalty, will be assessed, after April 30th ...........................................  14.                                                                                                                            00 
                                  15. TOTAL AMOUNT DUE add lines 12 & 14 (Do not enter refunds) ...................................                                                                                                        15.                             00
                                                         I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct 
                                                         and complete. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge.

                                  SIGN         SIGN HERE ...............................................................................................(Taxpayer's signature and date)                  (Signature of preparer other than taxpayer and date)
                                  HERE
                                               SIGN HERE ...............................................................................................(Spouse's signature and date)                      (Address)                       (Telephone)
                                  MAIL RETURNS TO: CITY INCOME TAX DIVISION, 161 W. MICHIGAN AVE., JACKSON, MI 49201                                                                                                                                                       Page 1 
                                  MAKE CHECKS PAYABLE TO: TREASURER, CITY OF JACKSON                   DUE ON OR BEFORE APRIL 30TH.



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                 DO NOT USE THIS SCHEDULE IF ALL OF YOUR WORK IS PERFORMED 
J 1040         
SCHEDULE 1        IN JACKSON 

NON-RESIDENTS ONLY 
 
COMPUTATION OF WAGES EARNED IN JACKSON - To be completed by Non-Residents who performed only part of their job in Jackson and part outside on same job. Where husband 
and wife have income subject to allocation, figure separately. 

A. Actual number of days worked everywhere   260 maximum........................................................................................................................................                            A.   Days 
B. Subtract sick days, vacation days, holidays and other paid leave days.......................................................................................................................                             B.   Days 
C. Total number of days worked.......................................................................................................................................................................................       C.   Days
D. Actual number of days worked on job in Jackson (Attach Statement) .........................................................................................................................                              D.   Days
E. Percent of days worked in Jackson to total days (line D divided by line C) .................................................................................................................                             E.   %
F. Wages shown on W-2 (Less allowable employee expenses per attached 2106) Subject to 2% Federal Limit ...........................................................                                                          F. $ 
G. Line F multiplied by line E ............................................................................................................................................................................................ G. $ 
    
H. Add all other W-2 income not allocated........................................................................................................................................................................           H. $ 
I. TOTAL WAGES - subject to Jackson City Tax (line G and H) Enter on page 1, line 1B........................................................                                                                                I. $
SCHEDULE 2R    RESIDENTS (See instructions)
                A. Loss on sale of property portion prior to 1/1/70 (included in line 1 - total income) ...............................................                                                                     A. 
    ADDITIONS 
                B. Other - explain and attach schedules ...................................................................................................................                                                 B. 
    TO 
                C. Total Additions - enter here and on page 1, line 2..........................................................................                                                                             C. 
    INCOME

                D. Gain on sale of property - portion prior to 1/1/70 (included in line 1 - total income) .............................................                                                                     D. 
                E. Interest on U.S. and State obligations ..................................................................................................................                                                E. 
SUBTRACTIONS 
                F. Annuities, pensions, and insurance proceeds ......................................................................................................                                                       F. 
    FROM 
                G. Compensation from services in U.S. Armed Forces.............................................................................................                                                             G. 
    INCOME 
                H. IRA Payments as allowed on Federal 1040 (attach copy of Federal return) ........................................................                                                                         H. 
    ONLY 
   IF INCLUDED  I. Unemployment benefits........................................................................................................................................                                            I. 
    IN          J. Moving expense (active military only)...................................................................................................................                                                 J. 
                    
    LINE 1      K. Employees Business Expenses (subject to 2% Federal limit) (attach copy of Federal Form 2106).....................                                                                                        K. 
                L. Total Subtractions - enter here and on page 1, line 3 ...................................................................                                                                                L. 
                                                                                                                                                                                                                             
SCHEDULE 2NR    NON-RESIDENTS (See instructions)
                A. Net profits from Jackson rental property (Attach Schedule E)..............................................................................                                                               A. 
                B. Net profits from sale of property located in Jackson.............................................................................................                                                        B. 
    ADDITIONS 
                C. Net profits of a business or profession earned in Jackson (attach schedule C)...................................................                                                                         C. 
    TO 
                D. Other - explain (attach schedule)..........................................................................................................................                                              D. 
    INCOME
                E. Total Additions - enter here and on page 1, line 2..........................................................................                                                                             E. 

                   Employees business expenses incurred in the production of Jackson Income. 
SUBTRACTIONS    F. (if not deducted in schedule 1) (include Federal Form 2106) subject to 2% Federal Limit...................................                                                                               F. 
                                                                                                                                                                                                                      
    FROM        G. IRA Payments as allowed on Federal 1040 and in proportion to income taxed by city........................................                                                                                G. 
                   (attach copy of Federal return) 
    INCOME      H. Other - explain (attach schedule)..........................................................................................................................                                              H. 
   IF INCLUDED  I. Total Subtractions - enter here and on page 1, line 3 ...................................................................                                                                                I.
    IN 
    LINE 1

                                                               Page 2



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J1040                                                                                                                                                                                                    CHECK                              RESIDENT                        
FOR CALENDAR 2022                                                                   CITY OF JACKSON, MI INCOME TAX                                                                                       ONE                                NONRESIDENT                     
OR FISCAL YEAR ENDING                                                                                          INDIVIDUAL RETURN                                                                         BOX                                PART-YEAR                      
                                  YOUR SOCIAL SECURITY NUMBER                  SPOUSE'S SOCIAL SECURITY NUMBER                        DATE(S) OF BIRTH                                                                          FILING STATUS: 
                                                                                                                                                                                                                                RESIDENT FROM _____ TO _____ 
FIRST NAME(S) AND INITIAL(S)                                                     LAST NAME                                                                                                       TELEPHONE                       
                                                                                                                                      HOME  (               )                                                                           SINGLE                JOINT 
                                                                                                                                      WORK (               )                                                                     
(STREET OR RURAL ROUTE) DO NOT USE P.O. BOX                                                                                           Your Occupation 
                                                                                                                                                                                                                                EMPLOYERS NAME & LOCAL ADDRESS 
                                                                                                                                                                                                                                 _____________________________ 
CITY, TOWN OR POST OFFICE                            STATE              POSTAL ZIP CODE                                               Spouse's Occupation
                                                                                                                                                                                                                                 _____________________________

EXEMPTIONS:                                              a.    YOURSELF          65& Over        SPOUSE                       65 &Over 
Children are allowed their                               b.    Blind          Paraplegic                  Blind          Paraplegic
own exemption even if being  
claimed on parents return: 
                                                                               Dependents                      Check                                                                                                            No. of                NO. OF BOXES 
Did you file a 2021 City     c.                                           Name (first, initial, and last name) if under           If age 2 or over dependent's                                           Relationship           months                CHECKED ON a 
                                                                                                               age 2              social security number                                                                        in your home          AND b 
Return? ............                                                                                                                                                                                                                                   
                                                                                                                                  :          :                                                                                                        NO. OF OTHER 
                                                                                                                                                                                                                                                      DEPENDENTS 
  Yes            No                                                                                                             :          :                                                                                                        LISTED ON c 
If yes, are the Name(s)                                                                                                           :          :                                                                                                         
                                                                                                                                                                                                                                                      TOTAL EXEMPTIONS 
and Address the same?                                                                                                             :          :                                                                                                        ADD NUMBERS 
                                                                                                                                                                                                                                                      ENTERED ON 
  Yes            No                                                                                                             :          :                                                                                                        BOXES ABOVE
If no, list name and                                                                                                              :          :
address used on previous                                                                                                                                                                                                                               DO NOT ROUND 
return: .......................................................................................                                                                                                                                                          DROP CENTS

                                  1A. TOTAL INCOME: (all W2's Schedules, 1099ʼs and / or documents to substantiate totals must be attached in order to process return)                                                                     1A.                             00 
                                       RESIDENTS: enter total gross income for 2022......................................................... 
                                                                                                                                                                                                                                           1B.                             00 
                                  1B.  NONRESIDENTS: enter gross wages from W-2, or Schedule 1, page 2 ........................................... 
                                       (If you have no additions or subtractions, carry this amount to line 4) 
                                                                                                                                                                                                                                           2.                              00 
                                   2.  ADDITIONS TO INCOME: (from page 2 Schedule 2R line C for Residents or 2NR line E for Non-Residents) 1120-S income is not taxable on individual return. .. 
                                                                                                                                                                                                                                           3.                              00 
                                   3.  SUBTRACTIONS FROM INCOME(From page 2 schedule 2R line M for Residents/ScheduleI                                                                2NR line   for Non-Residents) 1120-S loss not deductible        on individual return.
                                                                                    ATTACH ALL SCHEDULES AND EXPLANATIONS                                                                                                                  4.                              00 
                                    4. ADJUSTED INCOME (Add lines 1 and 2 less line 3.)............................................ 
                                                                                                                                                                                                                                           5.                              00 
                 W-2'S HERE        5.  EXEMPTIONS: Multiply the number of exemptions claimed by $600.00............................... 
                                                                                                                                                                                                                                           6.                              00 
                                   6.  TAXABLE INCOME (line 4 less line 5) ...................................................... 
                                   
                                   7.  TAX - Multiply amount on line 6 by one of the following: 
                                       A. RESIDENT ONLY - 1% (.01) ...........................................................  7.                                                                                                                                         00 
                                       B. NONRESIDENT ONLY - 1/2% (.005)...................................................... 
                                       C. PART-YEAR RESIDENT - Tax from Schedule 4, line M........................................ 
                                   
                                       PAYMENTS AND TAX CREDITS:                    ATTACH COPIES OF W2ʼS, 1099                                                                                                                                                             
                                   8.  Jackson tax withheld (You must attach copies of all W2ʼs to obtain credit for withholding.)   8.                                                                                         00 
                                   9.  2022 Estimate payments (including carry forward credit from 2021 J-1040 ...........  9.                                                                                                  00 
                                  10. Credits for income tax paid to another Michigan municipality (Residents Only) or by                                                                            10.                        00                                          
                                       a partnership. *Attach copy of other municipalities return. 

                                  11. TOTAL PAYMENTS AND CREDITS (Add lines 8, 9 and 10.) ......................................                                                                                                           11.                             00 
                                       (Make checks payable to City Treasurer.)                                (No payment necessary if less than $1.00)
                                  12. BALANCE DUE: (line 7 larger than line 11)...................................................PAY WITH RETURN
                                                                                                                                                                                                                                           12.                             00 
                                       Direct Deposit- Routing Number
                                                              WORKSHEET  Checking      Savings- YOUR COPY
                                  13. A. REFUND: (line 11 larger than 7.)  Account Number                                                                                                                                                  13A.                            00 
                                       . . . . . refunds will not be made for less than $1.00 .............................................                                                                         REFUND 
                                  13. B. Credit to 2023 Estimated tax ...........................................................                                                                                   CREDIT                 13B.                            00 
                 ATTACH CHECK HERE
                                  13. C. Donate your refund to the City Parks and Recreation Fund .....................................                                                                                                    13C.                            00 
                                  14. Interest and penalty, will be assessed, after April 30th ...........................................  14.                                                                                                                            00 
                                  15. TOTAL AMOUNT DUE add lines 12 & 14 (Do not enter refunds) ...................................                                                                                                        15.                             00
                                                         I declare that I have examined this return (including accompanying schedules and statements) and to the best of my knowledge and belief it is true, correct 
                                                         and complete. If prepared by a person other than taxpayer, his declaration is based on all information of which he has any knowledge.

                                  SIGN         SIGN HERE ...............................................................................................(Taxpayer's signature and date)                  (Signature of preparer other than taxpayer and date)
                                  HERE
                                               SIGN HERE ...............................................................................................(Spouse's signature and date)                      (Address)                       (Telephone)
                                  MAIL RETURNS TO: CITY INCOME TAX DIVISION, 161 W. MICHIGAN AVE., JACKSON, MI 49201                                                                                                                                                       Page 1 
                                  MAKE CHECKS PAYABLE TO: TREASURER, CITY OF JACKSON                   DUE ON OR BEFORE APRIL 30TH.



- 6 -
                 DO NOT USE THIS SCHEDULE IF ALL OF YOUR WORK IS PERFORMED 
J 1040         
SCHEDULE 1        IN JACKSON 

NON-RESIDENTS ONLY 
 
COMPUTATION OF WAGES EARNED IN JACKSON - To be completed by Non-Residents who performed only part of their job in Jackson and part outside on same job. Where husband 
and wife have income subject to allocation, figure separately. 

A. Actual number of days worked everywhere   260 maximum........................................................................................................................................                            A.   Days 
B. Subtract sick days, vacation days, holidays and other paid leave days.......................................................................................................................                             B.   Days 
C. Total number of days worked.......................................................................................................................................................................................       C.   Days
D. Actual number of days worked on job in Jackson (Attach Statement) .........................................................................................................................                              D.   Days
E. Percent of days worked in Jackson to total days (line D divided by line C) .................................................................................................................                             E.   %
F. Wages shown on W-2 (Less allowable employee expenses per attached 2106) Subject to 2% Federal Limit ...........................................................                                                          F. $ 
G. Line F multiplied by line E ............................................................................................................................................................................................ G. $ 
    
H. Add all other W-2 income not allocated........................................................................................................................................................................           H. $ 
I. TOTAL WAGES - subject to Jackson City Tax (line G and H) Enter on page 1, line 1B........................................................                                                                                I. $
SCHEDULE 2R    RESIDENTS (See instructions)
                A. Loss on sale of property portion prior to 1/1/70 (included in line 1 - total income) ...............................................                                                                     A. 
    ADDITIONS 
                B. Other - explain and attach schedules ...................................................................................................................                                                 B. 
    TO 
                C. Total Additions - enter here and on page 1, line 2..........................................................................                                                                             C. 
    INCOME

                D. Gain on sale of property - portion prior to 1/1/70 (included in line 1 - total income) .............................................                                                                     D. 
                E. Interest on U.S. and State obligations ..................................................................................................................                                                E. 
SUBTRACTIONS 
                F. Annuities, pensions, and insurance proceeds ......................................................................................................                                                       F. 
    FROM 
                G. Compensation from services in U.S. Armed Forces.............................................................................................                                                             G. 
    INCOME 
                H. IRA Payments as allowed on Federal 1040 (attach copy of Federal return) ........................................................                                                                         H. 
    ONLY 
   IF INCLUDED  I. Unemployment benefits........................................................................................................................................                                            I. 
    IN          J. Moving expense (attach copy of Federal Form 3903) ..........................................................................................                                                             J. 
                   *Only allowed if moving into the City of Jackson 
    LINE 1      K. Employees Business Expenses (subject to 2% Federal limit) (attach copy of Federal Form 2106).....................                                                                                        K. 
                L. Renaissance Zone or Other..................................................................................................................................                                              L. 
                M. Total Subtractions - enter here and on page 1, line 3 ...................................................................                                                                                M. 

SCHEDULE 2NR    NON-RESIDENTS (See instructions)
                A. Net profits from Jackson rental property (Attach Schedule E)..............................................................................                                                               A. 
                B. Net profits from sale of property located in Jackson.............................................................................................                                                        B. 
    ADDITIONS 
                C. Net profits of a business or profession earned in Jackson (attach schedule C)...................................................                                                                         C. 
    TO 
                D. Other - explain (attach schedule)..........................................................................................................................                                              D. 
    INCOME
                E. Total Additions - enter here and on page 1, line 2..........................................................................                                                                             E. 

                   Employees business expenses incurred in the production of Jackson Income. 
SUBTRACTIONS    F. (if not deducted in schedule 1) (include Federal Form 2106) subject to 2% Federal Limit...................................                                                                               F. 
                                                                                                                                                                                                                      
    FROM        G. IRA Payments as allowed on Federal 1040 and in proportion to income taxed by city........................................                                                                                G. 
                   (attach copy of Federal return) 
    INCOME      H. Other - explain (attach schedule)..........................................................................................................................                                              H. 
   IF INCLUDED  I. Total Subtractions - enter here and on page 1, line 3 ...................................................................                                                                                I.
    IN 
    LINE 1

                                                               Page 2



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                                         ATTACH THIS SCHEDULE TO YOUR J 1040                                    
J 1040                                   BUSINESS ALLOCATION FORMULA                            Located        Located in Percentage 
 SCHEDULE 3
                                                                                                Everywhere     Jackson         II ÷ I
                                         To be used by non-residents only and must be 
                                                                                                       I       II
 accompanied by a copy of your Federal Schedule "C".

1. Average net book value of real and tangible personal property.                            1  $$
 
 a. Gross annual rent paid for real property only multiply by 8.                             1a 
 
 b. TOTAL (add lines 1 and 1a)                                                               1b                                      % 
 
2. Total wages, salaries, commissions and other compensation of all                          2                                       % 
 employees. 
 
3. Gross receipts from sales made or services rendered.                                      3                                       % 
 
4. Total percentages-add the three percentages computed for lines 1B, 
 2 and 3 which you entered in the last column.                                                                            4          % 
 
5. Average percentage (one-third of line 4).                                                                              5          %
 
6. Profit or loss from schedule C, from Federal 1040.                                                                     6  $ 
 
7. City of Jackson business income - line 6 multiplied by line 5 (enter 
 on Page 2, schedule 2 NR, line C.                                                                                        7 $
 NOTE:      In determining the average percentage (line 5), a factor shall be excluded from the computation 
            only when it does not exist anywhere as far as the taxpayer's business operation is concerned. 
            In such cases, the sum of the percentages on line 4 shall be divided by the number of factors 
            actually used.

INSTRUCTIONS FOR BUSINESS ALLOCATION FORMULA

  The business allocation percentage formula is to be                                 multiplied by 8 for all rented real property regardless of 
used by non-resident owners of businesses with                                        location (yields estimated value of such property). In 
business activity both inside and outside the City of                                 Column II show the gross annual rentals multiplied by 
Jackson who, because they do not maintain sufficient                                  8 for all rented real property located in the City of 
records to accurately reflect the net profits from                                    Jackson. 
operations conducted in the City of Jackson or for                                      Line 2. Enter in Column I the total compensation paid 
other reasons, are not using the separate accounting                                  to all employees during the year and in Column II show 
method.                                                                               the amount of compensation paid to employees for 
  Line 1. Enter in Column I the average net book value                                work done or for services performed within the City of 
of all real and tangible personal property owned by the                               Jackson during the year. 
business, regardless of location; and in Column II show                                 Line 3. Enter in Column I the total gross receipts form 
the net book value of the real and tangible personal                                  all sales or services rendered during the year and in 
property located in the City of Jackson. The average                                  Column II show the amount of receipts derived from 
net book value of real and tangible personal property                                 sales made or services rendered in the City of Jackson 
may be determined by adding the net book values at                                    during the year. 
the beginning of the year and the net book values at 
                                                                                        Line 4 and 5. Compute the percentages as indicated. 
the end of the year and dividing this sum by two. Any 
other method which will accurately reflect the average                                  Line 6. Enter the amount of net profit (or loss) from 
net book value for the year will also be permitted.                                   your business or profession as computed on your 
                                                                                      Federal 1040, Schedule C, line 21. 
  Line 1a. Enter in Column I the gross annual rentals 
                                                                                        Line 7. Multiply the amount on line 6 by the percentage 
                                                                                      on line 5, and enter the result on Page 2 Schedule 2 NR, 
                                                                                      line C.



- 8 -
                                       ATTACH THIS SCHEDULE TO YOUR J 1040                                                              All income while      Portion of income 
J 1040                                                                                                                                   a Jackson            earned in 
SCHEDULE 4               COMPLETE THIS SCHEDULE ONLY IF YOU HAD INCOME                                                                   resident             Jackson while a 
                         SUBJECT TO THE TAX BOTH AS A RESIDENT AND 
                         NON-RESIDENT                                                                                                                         Non - Resident 
                                                                                                                                         1                    2

A.     GROSS WAGES (Attach W-2 to front of J 1040) ..................................................                              A.  $                    $  
B.     DIVIDENDS (10C from Federal Tax Return) .........................................................                           B.                         NON-TAXABLE 
C.     INTEREST, ROYALTIES, INCOME FROM TRUSTS AND ESTATES...................                                                      C.                         NON-TAXABLE
D.     INCOME (OR LOSS) FROM RENTS (write location of property                                                                                               
       below: .................................................................................................................... 
       _______________________________________________________________                                                                                       
       _______________________________________________________________                                                             D.                        
E.     NET INCOME (OR LOSS) FROM PARTNERSHIPS, BUSINESS OR                                                                                                   
       PROFESSION. Small Business Corporation, Federal form 1120S, are 
       not permitted to file as so-called "tax option" corporations. Every                                                                                   
       corporation subject to city income tax must file a return and pay the 
       tax. Write name of business below:.......................................................................                                             
       _______________________________________________________________                                                             E.                        
F.     GAIN (OR LOSS) FROM SALE OF PROPERTY (write the location                                                                                              
       of the property below:)........................................................................................... 
                                                                                                                                                             
       _______________________________________________________________ 
       _______________________________________________________________                                                             F.                        
G. OTHER - EXPLAIN................................................................................................                 G.                        
H.     TOTAL INCOME - BOTH COLUMNS (Add lines A through G)..............................                                           H.                        
I.     LESS EXEMPTIONS - Multiply number claimed by $600 and enter                                                                                           
       this amount in Column 1 (if more than Column 1, line H, carry 
       excess to Column 2)..............................................................................................           I.                        
J.     TAXABLE INCOME - Line H less line I (see instructions) .....................................                                J. $                     $ 

K.     TAX - RESIDENT INCOME: Multiply line J, Column 1 by 1% (.01) .............................................................                        K. $ 

L.     TAX - NON-RESIDENT: Multiply line J, Column 2 by 1/2% (.005) ................................................................                     L.  

M. TOTAL TAX - Add lines K and L and enter on Page 1, line 7, J 1040..........................................................                           M. $

                                                    INSTRUCTIONS FOR SCHEDULE 4
WHO MUST USE THIS SCHEDULE                                                   LINE H - TOTAL INCOME: Add lines A - G for both columns. 
You must complete schedule 4 if you earned part of your                      LINE I - EXEMPTIONS: Multiply your exemptions by $600 
income while a resident, and you earned income subject to                    and enter in Column 1. If Column 1, Line I (exemption 
Jackson tax while a non-resident.                                            deduction) is larger than Line H (total income) carry all of the 
If you earned income as a resident but earned no Jackson                     excess to Column 2. 
income while a non-resident, do not use Schedule 4; check                    LINE J - TAXABLE INCOME:                                                    Subtract Line I from Line H 
the Resident Box on page 1, J1040, and file as a resident,                   and enter on line J. If Column 1 shows taxable income, it 
using the resident instructions. However, include only                       may be reduced by a loss (on city income) in Column 2. If 
earnings and income earned while a resident.                                 column 1 is 0, Column 2 cannot be less than 0. 
ATTACH THIS SCHEDULE TO YOUR J 1040                                          LINE K - TAX-RESIDENT INCOME: Multiply the taxable 
lines A to G - income and subtractions                                       income in Column 1, line J by 1% (.01) and enter on this line. 
COLUMN 1 -   Include the income items as though you were                     LINE L - TAX-NON-RESIDENT: Multiply the taxable income 
filing as a resident but only that portion that was earned while             in Column 2, Line J by 1/2% (.005) and enter on this line. 
a resident (see resident instructions.)                                      LINE M - Add lines K and L, enter here and on page 1, line 7 
COLUMN 2 -   Include the income items as though you were                     J 1040.
filing as a non-resident but only that portion that was earned 
in city while a non-resident. 



- 9 -
                                                                               RESIDENTS ONLY 
                                             INSTRUCTIONS FOR PREPARING TAX RETURN

HEADING INFORMATION                                                                     LINE 7 - TAX: Multiply the amount on line 6 by 1% (.01) and enter the result on this 
First complete the name, address and filing status, and be certain that your social     line. 
security number has been entered correctly.                                             LINE 8 - JACKSON TAX WITHHELD:  Add all local tax withheld from W2ʼs and 
Fill in the name of your current employer, and other sources of income. Check the       then drop cents. A legible copy of your W-2 (be sure and attach city copy to show 
resident box on page 1, J1040 if you were a resident for the full taxable year, also    city withholding) must be submitted with your return to obtain credit for amount 
part year residents with no non-resident taxable income. Enter dates of residency from: withheld. Attach the W-2 to the front of the J1040. 
_____________________________ and To: ______________________________ ;                   
                                                                                        LINE 9 - ESTIMATE PAYMENTS: Enter amounts paid on Declaration of Estimated 
List names and S.S. numbers of exemptions claimed on your 2021 Federal 1040.            Tax during 2021 including overpayment from 2021 J1040. 
                                                                                         
EXEMPTIONS: $600 is allowed for each exemption in 2021. Double exemptions are           LINE 10 - OTHER CREDITS: Enter tax paid to another Michigan municipality but not 
allowed for the following: taxpayers 65 or over or paraplegic taxpayers. Children with  more than you would have owed Jackson on the same income as a non-resident. 
taxable income may claim themselves on their own returns even though their              Also enter amount of any tax paid in your behalf by a partnership, or any payments 
parents may have already claimed them as exemptions. (Any questions concerning          made on a tentative return. *Attach copy of other municipalities returns. 
this matter may be referred to the Income Tax Office at 788-4043).                       
                                                                                        LINE 11 - TOTAL PAYMENTS AND CREDITS: Add line 8, 9 and 10. 
LINE 1 - TOTAL INCOME: Enter Total Gross for 2022 Income. Add all income from            
W2ʼs and then drop cents. If you have no additions or subtractions, carry this amount                       BALANCE DUE OR OVERPAYMENT 
to line 4. (Attach all schedules per Federal Return). Round to nearest dollar.                                               
                                                                                        LINE 12 - BALANCE DUE: If line 7, (your tax) is larger than line 11, (your payments 
LINE 2 - ADDITIONS TO INCOME: Total from page 2, Schedule 2R, Line C,                   and credits) enter the difference. This amount must be paid when filing this return. 
 Schedule 2R:                                                                           Taxpayers making payments on estimated tax are required to file a return (Form 
 Line A - Enter on this line, losses prior to Jan. 1, 1970 on sales and                 J1040ES). Make your check or money order payable to Treasurer, City of Jackson, 
 exchanges of property which have been deducted in arriving at a total gross            and mail your return and payment to Income Tax Division, City Hall, Jackson, 
 income. (see line D under Subtractions From Income for explanation of gain             Michigan 49201. (No payment is necessary if less than $1.00). 
 and loss computation.)                                                                  
 Line B - Enter any additional adjustments on this line and explain in a                LINE 13(A) - REFUND: Enter the overpayment to be refunded. Refunds of less than 
 separate statement. 1120-S income not taxable on individual return.                    $1.00 will not be made but return must be filed with the Income Tax Division. 
 Line C - Total Additions                                                               You may direct deposit your refund, fill out information on form. 
 *Losses on sale of your residence, car or other non-business property                   
 cannot be deducted. A gain on the sale of your residence need not be                   LINE 13(B) - CREDIT 2022 ESTIMATED TAX: If you wish to have your over-
 recognized if a new residence is purchased in Jackson at a cost greater than           payment credited to your 2023 estimated tax, enter the amount on this line. 
 the adjusted sales price of the old one, under the same time limits and other           
 conditions as under the IRS code.                                                      LINE 13(C) - Donate your refund to the City Parks and Recreation Fund. 
                                                                                         
LINE 3 - SUBTRACTIONS FROM INCOME: Total from page 2, Schedule 2R, Line M.              LINE 14 - After April 30 interest & penalty will be assessed, penalty not to exceed 
 Schedule 2R.                                                                           25% of unpaid Tax. If the total interest and penalty to be assessed is less than $2.00, 
 Line D - Enter portion of gain on sale of property prior to Jan. 1, 1970, the          the administrator shall assess a penalty in the amount of $2.00. 
 amount of gain or loss occurring before Jan. 1, 1970 can be determined                  
 either by 1) computing the difference between cost and fair market value at            LINE 15 - Enter total amount due. 
 Jan. 1, 1970 or 2) multiplying the Federal income tax gain or loss by the ratio         
 of number of months held prior to Jan. 1, 1970 to total months held.                                           SIGN YOUR RETURN 
 Lines E through L - Enter on the appropriate line any non-taxable item which                                                
 may be included in your total gross income on page 1, line 1. Moving                   Be sure that your return is signed. If you are filing jointly, both husband and wife 
 expenses are allowable only if moving into the city (not allowable subtraction         must sign. Any balance due must be paid when you file. 
 from income when moving away from the city). 1120-S loss not deductible                 
 on individual return.                                                                  NOTE: A taxpayer who was a resident part of the year and lived and worked 
                                                                                        outside the city the balance of the year, shall use the rate of 1% on his 
NOTE:  The items on Lines D through K may only be subtracted to the extent they         earnings as a resident only. Use line L (Schedule 2R) to remove non-taxable 
are included in income.                                                                 income if included. 
                                                                                         
LINE 4 - ADJUSTED INCOME: Add lines 1 and 2 less 3.                                     ASSISTANCE: 
                                                                                        For questions not answered in this booklet or assistance in preparing your return, 
LINE 5 - EXEMPTIONS: Multiply the number of exemptions claimed by $600 and              call (788-4043) or visit the Income Tax Division located on the 1st Floor of City Hall, 
enter the result on this line.                                                          161 W. Michigan Avenue, Jackson, MI.
 
LINE 6 - TAXABLE INCOME: Line 4 less line 5. If line 5 is larger than line 4 enter 0. 

           Note: Please attach copies of your Federal forms 4797, 3903 Moving Expenses, 
           2106 Business Expenses, Alimony and Schedules C, D, E, F, and R, which were 
           used to arrive at your Adjusted Gross Income, Federal Form 1040.



- 10 -
                                                                           NON-RESIDENTS ONLY 
                                                        INSTRUCTIONS FOR PREPARING TAX RETURN

HEADING INFORMATION                                                                             non taxable (income earned outside while a non-resident). 
First complete the name, address and filing status, and be certain that your social     NOTE: No deductions are allowable for personal expenses such as taxes on your 
security number has been entered correctly. If spouse is included as an exemption       home, interest on loans, etc. 
also his/her social security number.                                                             
Fill in the name of your current employer, and list all other sources of income.                Line  I- Add lines F, G and H, enter the total on page 1, line 3 J1040. 
Check the non-resident box on page 1, J1040.                                                     
                                                                                        LINE 4 - ADJUSTED INCOME: Add lines 1 and 2 less 3. 
EXEMPTIONS: $600 is allowed for each exemption in 2021. Double exemptions are            
allowed for the following: taxpayers 65 or over, blind or paraplegic taxpayers.         LINE 5 - EXEMPTIONS: Multiply the number of exemptions claimed by $600 and 
Children with taxable income may claim themselves on their own returns even             enter the result on this line. 
though their parents may have already claimed them as exemptions. (Any questions         
concerning this matter may be referred to the Income Tax Office at 788-4043).           LINE 6 - TAXABLE INCOME: Line 4 less line 5. If line 5 is larger than line 4 enter 0. 
                                                                                         
LINE 1 - TOTAL INCOME:     Enter the full amount of gross wages from your W-2           LINE 7 - TAX:   Multiply the amount on line 6 by  /1%2 (.005) and enter the result on  
including wage continuation pay if you worked 100% of the time in Jackson. After        line 7. 
wages are determined, drop cents. If you performed service both inside and outside of    
Jackson, complete Schedule 1 on page 2.                                                 LINE 8 - JACKSON TAX WITHHELD: Add all local tax withheld from W2ʼs then drop 
                                                                                        cents. A legible copy of your W-2 must be submitted with your return to obtain credit 
        SCHEDULE 1 - Computation of wages earned in Jackson.                            for amount withheld for the City of Jackson. Attach the W-2 to the front of the J1040. 
        Line A - Enter the actual number of days worked everywhere during the year.      
        Line B - Subtract vacation days, sick days, holidays and other paid leave days. LINE 9 - ESTIMATE PAYMENTS: Enter amounts paid on Declaration of Estimated 
        Line C - Total number of days worked.                                           Tax during 2021 including overpayment from 2021 J1040. 
        Line D - Enter total number of days worked in Jackson.                           
        Line E - Divide days on line D by the days on line C and enter the resulting    LINE 10 - OTHER CREDITS: Enter amount of any tax paid in your behalf by a 
        percentage on line E.                                                           partnership or any payments made on a tentative return if income included in line 1. 
        Line F - Enter your wages from your W-2, but first subtract employee expenses    
        incurred in the production of Jackson income. (Subject to 2% Federal limit.)    LINE 11 - TOTAL PAYMENTS AND CREDITS: Add lines 8, 9 and 10. 
        Line G - Multiply the wages on line F by the percent on line E, enter the        
        result on line G.                                                                                    BALANCE DUE OR OVERPAYMENT 
        Line H - Add all taxable income not subject to allocation.                                                              
        Line I - Total Wages subject to tax.                                            LINE 12 - BALANCE DUE: If line 7, (your tax) is larger than line 11, (your payments 
                                                                                        and credits) enter the difference. This amount must be paid when filing this return. 
NOTE: Employees paid on a commission basis should multiply their total                  Taxpayers making payments on Declaration of Estimated Tax are required to file an 
commissions by the ratio of commissions earned in Jackson to total commissions          annual return (J1040).  
earned.                                                                                 Make your check or money order payable to Treasurer, City of Jackson, and mail 
  2. Non-resident wage earners should exclude income earned on another job outside      your return and payment to Income Tax Dept. City Hall, Jackson, Michigan 49201. 
of the city when completing line F.                                                     (No payment is necessary if less than $1.00). You must still file. 
                                                                                         
LINE 2 - ADDITIONS TO INCOME: Total from page 2, Schedule 2NR, line E.                  LINE 13 - OVERPAYMENT: If line 11 (total payments and credits) is larger than line  
        Schedule 2NR - ADDITIONS:                                                       7 (your tax) enter the amount of overpayment on either line 13A or 13B. 
        Line A - Enter net profit from rental property located in Jackson.               
        Line B - Enter net profit or loss from sales of property located in Jackson.    LINE 13(A) - REFUND: Enter the overpayment (line 13) to be refunded. Refunds of 
        Losses including carry-overs are computed and used to offset gains in the       less than $1.00 will not be made but return must be filed with the CITY INCOME 
        same manner as in the Federal Internal Revenue Code. Only gain or loss          TAX DIVISION. You may have Direct Deposit of your refund. Fill out the information 
        incurred after Jan. 1, 1970 on property in Jackson is taxable. It may be        boxes on form. 
        determined by 1) Difference between the fair market value at Jan. 1, 1970        
        and sales price or, 2) multiplying the Federal income tax gain or loss by the   LINE 13(B) - CREDIT 2022 ESTIMATED TAX: If you wish to have your over- 
        ratio of number of months held after Jan. 1, 1970 to total months held.         payment credited to your 2023 estimated tax, enter the amount on this line 
        Line C - Enter net profits from business or profession which were earned in      
        Jackson. (Complete Schedule 3 if your business earned income both inside        LINE 13(C) - Donate your refund to the City Parks and Recreation Fund. 
        and outside of Jackson.) (**see insert on next page).                            
        Line D - Enter any other items taxable to a non-resident which were earned in   LINE 14 - After April 30, interest and penalty will be assessed, penalty not to exceed 
        Jackson.                                                                        25% of unpaid tax. If the total interest and penalty to be assessed is less than $2.00, 
        Line E - Total of lines A through D, enter here and on Page 1, line 2, J1040.   the administrator shall assess a penalty in the amount of $2.00. 
                                                                                         
LINE 3 - SUBTRACTIONS FROM INCOME: Total from Page 2, schedule 2NR, line I.             LINE 15 - Enter total amount due. 
        Line F - Enter the amount of expenses as an employee, limited to the             
        following:                                                                                                      SIGN YOUR RETURN 
        Attach Federal form 2106 to your J1040 return for the following Items 1, 2, 3                                           
        and 4. These expenses apply only on taxable income.                             Be sure that your return is signed. If you are filing jointly, both husband and  
        1. Expenses of travel, meals and lodging while away from home.                  wife must sign. Any balance due must be paid when you file. 
        2. Expenses as an outside salesman who works away from his employer's            
        place of business. (Does not include driver - salesman whose primary duty is    NOTE: A taxpayer who was a resident part of the year and lived and worked  
        service and delivery.)                                                          outside the city the balance of the year, shall use the rate of 1% on his earnings  
        3. Expenses of transportation. (But not transportation to and from work.)       as a resident only. Use line L (Schedule 2R) to remove non-taxable income if  
        4. Expenses reimbursed under an expense account or other arrangement            included. 
        with your employer, if the reimbursement has been included in gross earnings     
        reported. Subject to 2% Federal Limit.                                          ASSISTANCE: 
        Line G - IRA payments made on Income taxed by the city only.                    For questions not answered in this booklet or assistance in preparing your return, call 
        Line H - Enter other items which may have been included in income which is      (788-4043) or visit the Income Tax Division located on the 1st floor of City Hall, 161 
                                                                                        W. Michigan Avenue, Jackson, MI.
                                                        NOTE: Please attach copies of your Federal forms 4797, 3903 Moving Expenses,  
                                                        2106 Business Expenses, Alimony and Schedules C, D, E, F and R, which were  
                                                        used to arrive at your Adjusted Gross Income, Federal Form 1040.






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